Individual provider Active NPI

Raciel Quintana, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1700291010
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN633 Issued in FL
Practice address
8755 SW 24TH St
Miami, FL 33165-2027
Phone
(305) 475-9999
Fax
(786) 530-4072
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18767 PR
General Practice Physician 208D00000X ACN663 FL
General Practice Physician 208D00000X ACN633 FL Primary

Addresses

Primary practice location

8755 SW 24TH St
Miami, FL 33165-2027

Mailing address

8755 SW 24TH St Unit a
Miami, FL 33165-2070
Phone (305) 475-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103003214 FL Practitioner - General Practice 9830409861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

8755 SW 24TH St
Miami, FL 33165-2027
Phone (305) 475-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN633FLMDPediatrics Physician
18767PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Current Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Jun 14, 2023 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

1000 NW 57th Ct
Ste 400
Miami, FL 33126

8755 SW 24th St
Unit A
Miami, FL 33165
Phone (305) 475-9999

8755 SW 24th St
Miami, FL 33165
Phone (305) 475-9999

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737

Interoperability endpoints

  • Direct secure messaging: raciel.quintana.p1@direct.caremax.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1700291010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 SW 24TH ST UNIT A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652070",
            "telephone_number": "305-475-9999",
            "fax_number": "786-530-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652027",
            "telephone_number": "305-475-9999",
            "fax_number": "786-530-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "RACIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18767",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN663",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.